NPIMap

Organization Active NPI

McCabe Medical Group LLC

  • Emergency Medicine Physician
  • Springfield, GA
National Provider Identifier
1710069083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036568 Issued in GA
Legal business name
MCCABE MEDICAL GROUP LLC
Practice address
459 Ga Highway 119 S
Springfield, GA 31329-3021
Phone
(912) 541-5373
Fax
(912) 564-2524
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ross Robert McCabe, MD
Title
Member
Phone
(912) 541-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 036568 GA Primary

Addresses

Primary practice location

459 Ga Highway 119 S
Springfield, GA 31329-3021

Mailing address

307 N Main St
Sylvania, GA 30467-1832
Phone (912) 541-5373

National Provider Directory

National Provider Directory

Locations

307 N Main St
Sylvania, GA 30467
Phone (912) 541-5373

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710069083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671832",
            "telephone_number": "912-541-5373",
            "fax_number": "912-564-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 GA HIGHWAY 119 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293021",
            "telephone_number": "912-541-5373",
            "fax_number": "912-564-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCABE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "912-541-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "036568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.